ECM Lead Care Coordinator

OUR EXCITING OPPORTUNITY

Community Action Partnership has an exciting opportunity for Lead Care Coordinator In this role, the Enhanced Care Management (ECM) Lead Care Coordinator will assist with the development and implementation of program procedures and ensure that requirements are aligned to build sustainable support in impacting the lives of hundreds of residents, playing a critical part in the work and dedication of Community Action Partnership of Orange County’s initiatives. It’s leadership with a cause and the rewards are immeasurable!

WHO WE ARE

Born out of the War on Poverty more than 50 years ago, Community Action Partnership Orange County (CAP OC) is a trusted resource for Orange County community members who face obstacles such as food insecurity, unemployment, economic turmoil and more. We walk alongside the people we serve, and we act to meet immediate needs without delay. Our programs help empower people to improve their lives and their communities. We see poverty as an unacceptable reality for our neighbors and rally with key partners to help facilitate change. CAP OC hires professionals who support and embody the following EPIC values: Going above and beyond in every interaction and activity we undertake. We strive for EXCELLENCE in service, keeping a pulse on the most up to date innovations within our industry. Together we continually assess and improve the way to work and enhance the strategies we utilize to meet the needs of our community. Reaching our goals by working collaboratively with each other and our community. We are working to do the things that have not been done: empowering families and individuals to financial independence, breaking the cycle of poverty, creating financial equity, combating food insecurity, and establishing healthy and energy-efficient living conditions for all through social innovation. All of this takes PROACTIVENESS, and an intrinsic motivation that drives us to go above and beyond to create cutting-edge trends and program designs. We have the will and the energy and won't stop until the needs of our underserved community no longer exist. We are a team of high INNOVATION. We value the work we do; the people we serve; and treat each other with respect and kindness. We also have an environment of engaging in social economic justice by sharing of ideas and not afraid to try new things that increases our educational capacity. We think outside of the box, and challenge prevailing assumptions about issues of poverty. Reaching our goals by working in partnership with each other and our community. The work we do is deeply rooted in the COLLABORATION we have with our community and its citizens. We care about the legacy of community action partnership and go above and beyond to ensure we support each other in bringing forth the services and resources that will positively change generations forever. We have remained true to our mission “We seek to end poverty by stabilizing, sustaining and empowering people with the resources they need when they need them. By forging strategic partnerships, we form a powerful force to improve our community.”

VALUES

In addition to our EPIC values our external values are as follows: Leadership We are guiding critical shifts in how people think and act to address the root causes of poverty Collaboration We bring together all capable partners to achieve transformative results Trust For over 50 years, the community has counted on us to empower those in need Compassion We treat each person we serve respectfully and with great care Justice We are passionate about advocating for those living in poverty and creating equity throughout the region

WHAT YOU WILL ACCOMPLISH IN THIS ROLE

The ECM Lead Care Coordinator will deliver intensive, in-person care management services to the most vulnerable populations, including individuals and families experiencing homelessness, high utilizers, children and youth involved in child welfare, and tenants in CAP OC housing units. This role will address both clinical and non-clinical needs, working as part of the member’s multi-disciplinary care team to coordinate all aspects of Enhanced Care Management (ECM). The salary for this position is $27.00 - $30.00 per hour. Preferred: Bilingual in English/Spanish, both written and oral forms. This position requires regular travel throughout Orange County. Candidates must have a valid driver’s license, reliable personal transportation, and maintain active auto insurance at the time of hire. This position will follow a hybrid schedule, with the ECM Lead Care Coordinator’s time split between the Office, time in the Field, and Remote work. The exact split may fluctuate from week to week and the Lead Care Coordinator is expected to exercise professional discernment in determining the best allocation of his/her time. Hybrid schedules are subject to change based on program needs and/or the reporting manager’s discretion.

ROLES AND RESPONSIBILITIES

Comprehensive Case Management: Conduct client screenings and assessments; develop, implement, and monitor individualized care/service plans; provide crisis intervention; connect clients to health, mental health, employment, housing, and other community resources, including CalAIM community supports and transportation. ECM Services Oversight: Supervise the provision of Enhanced Care Management (ECM) services, including the development and implementation of care plans. Documentation: Maintain accurate records of service objectives, outcomes, and other services in line with established guidelines. Interdisciplinary Communication: Facilitate clear communication among interdisciplinary care team members to ensure awareness of clients’ care plans. Provider Coordination: Collaborate with clients’ providers, including but not limited to medical, behavioral health, specialists, and housing navigators. Client Accompaniment: Accompany clients to office visits as needed. Service Coordination: Coordinate with individuals and entities to ensure a seamless client experience and avoid service duplication. Approach Utilization: Employ motivational interviewing, trauma-informed care, and harm-reduction approaches. Treatment Monitoring: Monitor clients’ adherence to treatment plans, including medication. Health Promotion: Provide health promotion and self-management training. Reporting: Complete and submit program reports as scheduled or needed. Member Engagement: Engage with eligible members. Additional Duties: Perform other duties as assigned

THE IDEAL CANDIDATE HAS KNOWLEDGE AND EXPERIENCE IN

Medical Terminology: Proficient in medical terminology for effective communication with healthcare providers and accurate interpretation of medical records. Health Insurance: In-depth knowledge of health insurance plans, including Medicare, Medicaid, and private insurance, along with claims processes. Comprehensive Care Plans/Service Plans: Proven ability to create tailored care plans for individual member needs. Needs Assessments: Experienced in conducting thorough assessments to identify member’s medical, social, and psychological needs. Case Management & Housing Services: Expertise in managing cases, understanding housing services, and addressing poverty issues. Coordination with Healthcare Providers: Effective in coordinating with healthcare providers to cover all aspects of member care. Assessment Tools: Competent in using various assessment tools and methodologies. Communication Skills: Excellent verbal and written communication skills for interacting with member’s, families, and healthcare providers. Organizational Skills: Strong organizational abilities to manage multiple member’s and coordinate their care. Time Management: Efficient in prioritizing tasks and ensuring timely service delivery. Problem-Solving: Capable of identifying issues, developing solutions, and implementing changes to improve member care. Critical Thinking: Strong critical thinking skills for quick, informed decision-making. Empathy & Interpersonal Skills: Empathetic and skilled in building trusting relationships with member’s and families. Member Privacy: Understanding of member privacy laws, such as HIPAA, to ensure confidentiality. Teamwork: Ability to work both independently and collaboratively within a team

IDEAL CANDIDATE MUST BE

Customer service oriented: Establish and maintain effective working relationships with CAP OC’s staff, clients, and representatives of other organizations. Ethically Focused: Understand ethical behavior and business practices and ensure own behavior and the behavior of others are consistent with these standards and align with the values of the organization. Inclusive: Work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational and program effectiveness. Leader: Positively influence others to achieve results that are in the best interest of the organization and participants. Work focused: Being detail-oriented while working accurately and efficiently on a consistent basis without assistance. Strong organizational skills. Flexible: Work locations will vary between an office environment and working in the community which can include working outdoors in varying temperatures and weather conditions. May require working weekends/ evenings/ holidays when/if needed to meet client/production demands. Workdays and hours of work are subject to change. Preferred Language Skill: Demonstrate clear, concise, and effective communication skills both orally and in writing in English and Spanish. Mathematical: Promptly correctly create, compose, and complete mathematical equations on a computer and/or to complete forms for reports and/or presentations. Compile numbers, statistical data, and obtain other information for forms, reports, and presentations. Computer literate: Competently use the Internet, Web based databases, Microsoft Office (Word, Excel, PowerPoint, Outlook, Publisher and Access) and other applications. Experience with virtual communication platforms. Use a variety of computer databases to ensure that client records, statistics and reports are completed.

EDUCATION AND EXPERIENCE

Bachelor’s degree in Nursing, Social Work, Public Health, Healthcare Administration, or a related field (Master’s degree preferred). Advanced certifications in care management such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) are a plus. A minimum of 3-5 years of experience in care coordination, case management, or a related healthcare role. Proven track record working with individuals experiencing homelessness or individuals with chronic conditions.

TRAVEL

Possess a valid California Driver’s License with a driving record that meets minimum standards established by CAP OC insurance carrier, proof of vehicle insurance, access to a vehicle and willingness to drive/travel when required. Typically, travel is local during the business day to/from CAP OC locations and to/from community events which are usually within Orange County; possible day travel to/from LA county and Inland Empire counties is possible. The incumbent will use their personal vehicle. Travel may be during evening hours with possible out-of-the-area and overnight travel.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to bend, stoop, reach, pull, push, stand, kneel, sit, twist, turn, walk, bend at the waist, talk and hear, prolonged and fine dexterity of fingers and wrists with prolong computer work, vision abilities include close vision, distance vision, color vision, ability to adjust focus, and prolong periods of looking at a computer screen. The employee must regularly lift and/or move objects up to twenty (20) pounds. Employee will experience prolonged periods of sitting at a desk and/or standing. Employee may be called upon to work outdoors in varying temperatures and weather conditions.

MEDICAL EXAMINATION AND BACKGROUND CHECK

A medical examination is required of each new employee whose physical condition must meet the minimum requirements prescribed for the position. In addition, prospective employees must pass a pre-employment physical, drug screen, Live Scan, and background check. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

THE PROMISE OF COMMUNITY ACTION

Community Action changes people’s lives, embodies the spirit of hope, improves communities, and makes America a better place to live. We care about the entire community, and we are dedicated to helping people help themselves and each other. #J-18808-Ljbffr Spirit League